Active NPI
Valerie Kay Anderson, BCBA
- Behavior Analyst
- Fort Walton Beach, FL
National Provider Identifier
1245580943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4829
- Practice address
- 380 Gardner Dr NE
Fort Walton Beach, FL 32548-5143 - Phone
- (915) 996-8326
- NPI assigned
- Sep 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4829 | TX | Primary |
Addresses
Primary practice location
380 Gardner Dr NE
Fort Walton Beach, FL 32548-5143
Mailing address
380 Gardner Dr NE
Fort Walton Beach, FL 32548-5143
Phone (915) 996-8326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1245580943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 GARDNER DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485143",
"telephone_number": "915-996-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 GARDNER DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485143",
"telephone_number": "915-996-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "VALERIE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-08-4829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.